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DR. LISA LAYA MD
NPI 1427046622
Internal Medicine - Infectious Disease in Hermitage, TN

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
19.39/100
CMS Quality Rating
3515 CENTRAL PIKE, STE 105, HERMITAGE, TN 37076(615) 889-7751(615) 885-6527 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Laya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA LAYA MD (NPI 1427046622) is an individual infectious disease provider in Hermitage, Tennessee, licensed in Tennessee (26917) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1427046622
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. LISA LAYACredential: MD
Location Address3515 CENTRAL PIKE, STE 105Hermitage, TN 37076-2029
Mailing Address5653 Frist Blvd Ste 330Hermitage, TN 37076-2064 · (615) 889-7751 · Fax (615) 885-6527
Phone(615) 889-7751
Fax(615) 885-6527
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 11, 2005
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1427046622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TN · 26917
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3515 CENTRAL PIKE, Hermitage, TN 37076
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Other Names 1

Professional Name (2)Dr. Lisa B Laya Md

Other Identifiers 1

Medicaid3823894TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Laya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052362514
PECOS Enrollment IDI20050202000582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
1,295 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,058 services251 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
246 services149 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
192 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Trousdale Medical Center

Critical Access Hospitals · Hartsville, TN
OwnershipVoluntary non-profit - Other
CMS Certification Number441301
Location500 Church StreetHartsville, TN 37074 · Trousdale County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

19.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost64.64

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$46.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN MITCHELL SPECK DDS
Dentist (General Practice)
3515 CENTRAL PIKE, SUITE 201
HERMITAGE, TN 37076
Davidson County (615) 883-3450
OLOF LOWRY BLOMBERG D.M.D.
Dentist
3515 CENTRAL PIKE, SUITE 202
HERMITAGE, TN 37076
Davidson County (615) 889-4658
DR DANIEL HIXON
Dentist
3515 CENTRAL PIKE, SUITE 204
HERMITAGE, TN 37076
Davidson County (615) 889-8202
DR. DANIEL A HIXON D.M.D.
Dentist
3515 CENTRAL PIKE, SUITE 204
HERMITAGE, TN 37076
Davidson County (615) 889-8202
F BRANDON BURGER D.D.S.
Dentist
3515 CENTRAL PIKE, SUITE 204
HERMITAGE, TN 37076
Davidson County (615) 889-8202
JOHN HENRY FRIEDMANN JR. DDS
Dentist
3515 CENTRAL PIKE, STE 202
HERMITAGE, TN 37076
Davidson County (615) 889-4658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Laya's NPI number?

The NPI number for Lisa Laya is 1427046622. It was assigned to this individual provider in the NPPES registry on October 11, 2005. The provider is also known as Dr. Lisa B Laya MD.

Where is Lisa Laya located?

Lisa Laya practices at 3515 Central Pike Ste 105, Hermitage, TN 37076. The listed phone number is (615) 889-7751.

What is Lisa Laya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Lisa Laya enrolled in Medicare?

Yes. Lisa Laya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Laya accept?

Health plans from UnitedHealthcare list Lisa Laya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Laya affiliated with any hospitals?

According to CMS data, Lisa Laya is affiliated with Tristar Skyline Medical Center, Tristar Summit Medical Center, Tristar Centennial Medical Center, Tristar Hendersonville Medical Center and Trousdale Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Laya was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.